Thoracic & Lumbar Flashcards
Which vertebra is typically the vertebral prominence?
Usually C7, more common in females
But it can also be T1, more common in males
Which spinous process is at the root of the scapular spine?
T3
Which vertebra has the largest spinous process?
T4
Which spinous process is at the inferior angle of scapula when patient is PRONE?
T6
Which spinous process is at the inferior angle of scapula when patient is SEATED?
T7
Which vertebrae are imbricated?
T5-T8
Which spinous processes are closest together?
T9/T10
Which spinous process is the first to be “blade like”?
L1
Which vertebra is directly medial to the iliac crests?
L4
Which vertebra has the smallest spinous process?
L5
Where is the transverse process of T1-T3 located?
Up one interspinous space and one inch lateral to spinous
Where is the transverse process of T4 located?
At level of the spinous process above (T3) and one inch lateral to spinous
Where is the transverse process of T5-T9 located?
Up two interspinous spaces and one inch lateral to spinous
Where is the transverse process of T10 located?
At level of the spinous process above (T9) and 3/4 inch lateral to spinous
Where is the transverse process of T11-T12 located?
Up one interspinous space and 1/2 inch lateral to spinous
Where is the MAMMILLARY process of L1-L5 located?
Up on interspinous space and 3/8 inch lateral to spinous
Which interspinous spaces are empty?
T8/T9 & T9/T10
Lumbar Extension
SCP=Inferior tip of spinous process
CP=Finger tip of digit 2 or 3 (Extension is the only one you can’t use thumb in lumbar)
Doctor Stance=Doesn’t matter what side you stand on
Movt=Spinous process should approximate. Loss of end feel indicates fixation.
Lumbar Rotation
SCP=Inferior/lateral aspect of spinous process
CP=Fingertip of digit 1,2, or 3
Doctor Stance=Stand on side being tested
Movt=Spinous process should rotate lateral. Loss of rotation indicates fixation.
Lumbar Lateral Rotation
SCP=Inferior/lateral aspect of spinous process
CP=Fingertip of digit 1,2 or 3
Doctor Stance=Stand on side being tested
Movt=Spinous should deviate lateral and slightly superior. Loss indicates fixation.
Thoracic Extension
SCP=Inferior tip of spinous process
CP=Fingertip of digit 2 or 3 (Extension is the only thoracic movt that you can’t use thumb)
Doctor Stance=Doesn’t matter what side you stand on
Movt=Spinous process should approximate. Loss of end feel indicates fixation
Thoracic Rotation
SCP=Inferior/lateral aspect of spinous process
CP=Fingertip of digit 1,2, or 3
Patient Placement=”Genie up”
Doctor Stance=Stand on side being tested
Movt=Spinous process should rotate later. Loss of end feel indicates fixation.
Thoracic Lateral Bend
SCP=Inferior/lateral aspect of spinous process
CP=Fingertip of digit 1,2, or 3
Patient Placement=”Genie up”
Doctor Stance=Stand on side being tested
Movt=Spinous should deviate later and slightly superior. Loss indicates fixation.
Which two thoracolumbar motions require patient to “genie up”?
Thoracic extension and rotation
Spinous Wiggle
SCP=Mammillary process (Lumbars) or transverse process (thoracic), and equivalent spinous process
CP=Thumb pads
Direction of pressure applied=tissue pull lateral to medial for both thumbs, but only apply posterior to anterior pressure on thumb over transverse or mammillary process (inferior hand)
Movt=Spinous process should deviate away from thumb. If there is no movt, there’s a fixation.
P-A Central Vertebral Pressure
SCP=Prominent portion of spinous process
CP=Hook of hamate
Doctor Stance=Stand in close to which ever side you prefer.
Movt=Segments will glide anteriorly and feel springy with no pain. If not, fixation.
When doing P-A Central Vertebral Pressure, which segment is your arm completely perpendicular to (90degrees)?
T8
